Matching the right dog or cat for your family is the right
approach to having a lifetime of joy with your new pet. We pride ourselves on
making this commitment work for everyone involved. It’s not only best for the
adopting family but also for the pets in need of a home. Please take a moment
to fill out the questionnaire and return it to Animal Adoption Network, Inc.
E-mail pjarmstrong70@aol.com

First name:
Last name: Date:

Address:

City:
State:
Zip Code:

Home phone:
Cell phone:
E-mail:

Best time to call:

1) I have owned a dog before: Yes_________ No __________
I currently have dog(s) _________

2) The last time
I owed a dog was: Within the past
year_________ Past 2 to 5 years__________

5+ year’s _________

3) My dog needs to get along with others: Yes ________ No
________

If yes, please list names, ages, genders, breeds, and if
they are spayed/neutered

4) My dog needs to be good
with: Children under 8 years
______ Children over 8 years _______

7) My new dog needs to be able
to be alone: 2 hours or
less ______4 hours or less ______

4-8 hours ________
8-10 hours _______ 12+ hours ________

8) When I’m
at home I want my dog to be by my side (per
day): All of the time _________ some of the time______ little of the time
_________

9) When I’m not at home, my dog will
spend his/her time: In
the garage________ in a crate in the house______ In the yard __________ Loose in the
house______ Confined to one room in the house______ Other (please
explain)___________________________

10) I want a guard
dog: Yes______ No_________

11) I want my dog to hunt
or herd with me: Yes__________
No__________

12) I want my dog to be very enthusiastic
in the way
he/she shows she loves people: Not at all ______

Somewhat __________ Very __________

13)
I want my dog to be playful: Not at all _________ Somewhat __________ Very
__________

14) I want my dog to be laid back: Not
at all _______
Somewhat __________ Very ___________

15) I am comfortable
doing some training with my dog to
improve manners such as jumping, stealing food, and pulling on a leash: No
training _____ Some training_______ A lot of training _________